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General NPI Number Information
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NPI Number | 1831860972
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Entity Type | Individual
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Provider Name | ANNA RYAN
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Gender | Female
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Dates
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Enumeration Date | 09/27/2021
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 2810 E HIGHLAND DR
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City | JONESBORO
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State | AR
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Zip | 72401-6231
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Country | US
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Telephone | 870-600-1314
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Fax |
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Provider Business Mailing Address
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Address Line | 2808 VILLAGE MEADOW CV
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City | JONESBORO
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State | AR
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Zip | 72405-3792
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Country | US
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Telephone | 573-281-9177
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OTR4115
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License Number State | AR
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